NPI | 1831396357 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ MA092542) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD447907) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2021-05-27 |